Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.98 / $238.98 / $238.98	Facility		$238.98	$238.98	$238.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $238.98 / $271.55	Professional		$193.01	$238.98	$271.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.13 / $307.13 / $307.13	Facility		$307.13	$307.13	$307.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Facility		$180.13	$180.13	$180.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Professional		$180.13	$180.13	$180.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $238.98 / $238.98	Professional		$238.98	$238.98	$238.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00